Reconciliation of Revenue per Audited Financial Statements With Revenue per Return

2001

2002

2006

2007

Total revenue

$0

$0

$146,330

$153,509

Total revenue, gains, and other support per audited financial statements

$0

$0

$146,330

$153,509

Other expenses

$0

$0

$0

$0

Net unrealized gains on investments

$0

$0

$0

$0

Donated services and use of facilities

$0

$0

$0

$0

Recoveries of prior year grants

$0

$0

$0

$0

Other

$0

$0

$0

$0

Other revenue

$0

$0

$0

$0

Investment expenses

$0

$0

$0

$0

Other

$0

$0

$0

$0

Reconciliation of Expenses per Audited Financial Statements With Expenses per Return

2001

2002

2006

2007

Total expenses

$0

$0

$67,145

$104,659

Total expenses and losses per audited financial statements

$0

$0

$67,145

$104,659

Other revenue

$0

$0

$0

$0

Donated services and use of facilities

$0

$0

$0

$0

Prior year adjustments

$0

$0

$0

$0

Losses

$0

$0

$0

$0

Other

$0

$0

$0

$0

Other expenses

$0

$0

$0

$0

Investment expenses

$0

$0

$0

$0

Other

$0

$0

$0

$0

Current Officers, Directors, Trustees, and Key Employees

Total number of officers, directors, and trustees permitted to vote on organization business at board meetings

0

Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?

No

Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?

No

Does the organization have a written conflict of interest policy?

No

Other Information

Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?

No

Was there a liquidation, dissolution, termination, or substantial contraction during the year?

No

Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?

No

Direct and indirect political expenditures

$0

Did the organization file Form 1120-POL for this year?

No

Were substantially all dues nondeductible by members?

Did the organization make only in-house lobbying expenditures of $2,000 or less?

Dues, assessments, and similar amounts from members

$0

Section 162(e) lobbying and political expenditures

$0

Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices

$0

Taxable amount of lobbying and political expenditures

$0

Does the organization elect to pay the section 6033(e) tax on the amount above?

If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?

Initiation fees and capital contributions

$0

Gross receipts for public use of club facilities

$0

At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?

No

Amount of tax imposed on the organization during the year under: section 4911

$0

Amount of tax imposed on the organization during the year under: section 4912

$0

Amount of tax imposed on the organization during the year under: section 4955

$0

Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?

No

Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958

$0

Amount of tax above, reimbursed by the organization

$0

At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?

No

Did the organization acquire a direct or indirect interest in any applicable insurance contract?

No

Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?

No

Number of employees employed in the pay period that includes March 12, 2006

0

Analysis of Income-Producing Activities (for 2007)

Unrelated business income

Excluded by section 512, 513, or 514

Related or exempt function income

Business code

Amount

Exclusion code

Amount

Total

$0

$60,234

$72,740

Program service revenue

Program service revenue 1

000000

$0

00

$0

$0

Program service revenue 2

000000

$0

00

$0

$0

Program service revenue 3

000000

$0

00

$0

$0

Program service revenue 4

000000

$0

00

$0

$0

Program service revenue 5

000000

$0

00

$0

$0

Medicare/Medicaid payments

000000

$0

00

$0

$0

Fees and contracts from government agencies

000000

$0

00

$0

$0

Membership dues and assessments

000000

$0

00

$0

$4,081

Interest on savings and temporary cash investments

000000

$0

Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)

$40,400

$0

Dividends and interest from securities

000000

$0

00

$0

$0

Net rental income or (loss) from real estate

debt-financed property

000000

$0

00

$0

$0

not debt-financed property

000000

$0

00

$0

$0

Net rental income or (loss) from personal property

000000

$0

00

$0

$0

Other investment income

000000

$0

00

$0

$0

Gain or (loss) from sales of assets other than inventory

000000

$0

Gain (or loss, to the extent allowed) from the sale of investments and other non-inventory property and from certain property acquired from financial institutions that are in conservatorship or receivership (sections 512(b)(5) and 512(b)(16)(A))

Did the organization make any taxable distributions under section 4966?

No

Did the organization make a distribution to a donor, donor advisor, or related person?

No

Enter the total number of donor advised funds owned at the end of the tax year

$0

Enter the aggregate value of assets held in all donor advised funds owned at the end of the tax year

$0

Enter the total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts

$0

Enter the aggregate value of assets held in all funds or accounts included above at the end of the tax year

Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose

$0

$0

$0

$0

Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975

$0

$0

$0

$0

Net income from unrelated business activities not included above

$0

$0

$0

$0

Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf

$0

$0

$0

$0

The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge

$0

$0

$0

$0

Other income

$0

$0

$0

$0

Lobbying Expenditures by Electing Public Charities (for 2007)

Total exempt purpose expenditures

$0

Total lobbying expenditures

$0

Total lobbying expenditures to influence public opinion (grassroots lobbying)

$0

Total lobbying expenditures to influence a legislative body (direct lobbying)

$0

Other exempt purpose expenditures

$0

Lobbying nontaxable amount

$0

Grassroots nontaxable amount

$0

Statements Regarding Other IRS Filings and Tax Compliance (for 2011)

Did the organization have unrelated business gross income of $1,000 or more during the year?

No

Initiation fees and capital contributions

$0

Gross receipts for public use of club facilities

$0

Gross income from members or shareholders

$0

Gross income from other sources

$0

Statement of Revenue (for 2011)

Total revenue

$159,465

Contributions, Gifts, Grants and Other Similar Amounts

$22,708

Program Service Revenue

$4,255

Other Revenue

Investment income (including dividends, interest, and other similar amounts)

$27,519

Income from investment of tax-exempt bond proceeds

$0

Royalties

$0

Net rental income

$0

Net gain from sales of assets other than inventory

$36,055

Gross amount from sales of assets other than inventory (Securities / Other)

$178,672 / $7,707

Less: cost or other basis and sales expenses (Securities / Other)

$150,324 / $0

Gain or (loss) (Securities / Other)

$28,348 / $7,707

Net income from fundraising events

$0

Net income from gaming activities

$0

Net income from sales of inventory

$63,171

Gross sales of inventory, less returns and allowances

$110,160

Less: cost of goods sold

$46,989

Miscellaneous Revenue

$5,757

Statement of Functional Expenses (for 2011)

Total functional expenses

$67,644

Compensation of current officers, directors, trustees, and key employees

$0

Other salaries and wages

$0

Payroll taxes

$0

Professional fundraising services

$0

Other

$67,644

Balance Sheet (for 2011)

Total assets

$1,352,277

Total liabilities

$10,602

Tax-exempt bond liabilities

$0

Secured mortgages and notes payable to unrelated third parties

$0

Unsecured notes and loans payable to unrelated third parties

$0

Other

$10,602

Total net assets or fund balances

$1,341,675

Retained earnings, endowment, accumulated income, or other funds

$0

Reason for Public Charity Status (for 2011)

The organization is not a private foundation because it is:

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2)

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